Share this Job

Provider Relations Rep, D&V

The Company:  Aflac Dental & Vision
The Location: 

Remote, US

The Division:  Dental & Vision
Job Id:  2319

Job Summary

 

Provider Relations Representative will be assigned a territory where he/she is responsible for recruiting and developing a network of doctors that provide dental and vision benefits to our plan members.

 

Principal Duties & Responsibilities

 

• Strategically identify and generate new leads for Provider recruitment to the Aflac D&V network by plan

• Recruit and maintain an adequate Providers network in assigned regions by being able to explain the value in joining the Aflac D&V

• network

• Obtain and submit accurate and completed Provider applications required for credentialing and contracting

• Serve as the main point of contact between Providers and Aflac D&V

• Conduct new Provider onboarding training to familiarize Providers with Aflac D&V processes and communication channels

• Maintain and build strong business relationships with Providers and champion their requests to ensure a positive Provider experience

• Must have the ability to work in a fast pace, high volume, production environment and maintain quality application processing.

• Negotiate/Re-negotiate contracts and fees with Providers while being cognizant of utilization and cost

• Supports and uses provider education materials which include: Perform network audit duties as necessary to ensure Provider directory accuracy and compliance with accreditation standards

• As directed, take prompt action with the Provider Relations email inbox to ensure quick resolution

• Track assigned duties and activities using the appropriate company resource (i.e. Acuity, Aldera, logging into phone systems, production reports etc.)

• Perform Other duties and responsibilities as assigned by management

 

Specialist - Education & Experience

 

Qualification Level Education Degree Specification

Minimum Required High School Diploma or Equivalent

Preferred Associate's Degree

 

Qualification Level Experience

Or an equivalent combination of education and experience.

 

Job Knowledge & Skills

 

• Ability to navigate complex health plan enterprise systems

• Efficient and concise communication skills

• Organized with excellent time-management capabilities

• Strong analytical and problem-solving skills

• Ability to analyze data for identifying trends and variance from goals

• Ability to work autonomously

• Detail-oriented

• Ability to multi-task effectively

• Microsoft Suite knowledge is a must

• Bilingual English/Spanish

 

Organizational Competencies

 

· Acting with Integrity - Clearly states goals and beliefs; lets people know his/her true intentions; does what he she said they would do; follows through on commitments

· Communicating Effectively - Expresses ideas and information in a clear and concise manner; tailors message to fit the interests and needs of the audience; delivers information in a manner that is interesting and compelling to the listener

· Pursuing Self-Development - Demonstrates ambition and desire to move forward in his/her career; engages others in discussions about career development; seeks feedback on ways to increase his/her performance; takes advantage of opportunities to build new skills and capabilities

· Serving Customers - Builds strong relationships with customers; stays aware of customer needs, concerns and satisfaction; responds promptly to customer questions and requests; effectively manages customer expectations

· Supporting Change - Enthusiastically participates in new change initiatives and programs; focuses on reasons why changes will work and how they will be beneficial

· Supporting Organizational Goals - Actively supports organizational goals and values; demonstrates enthusiasm toward the company's goals and mission; aligns actions around organizational goals

· Working with Diverse Populations - Shows respect for the beliefs and traditions of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds

 

Working Conditions

 

The statements below describe the general nature and level of the work and are not an exhaustive list of all responsibilities, duties, and skills required.

Normal office environment (virtual or in-person)

 

Travel

 

≤ 10%


Nearest Major Market: Eugene